MEDICARE: SLEEP DISORDER SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center		FL

General Provider Information

NPI Number	:	1003001900
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SLEEP DISORDER SOLUTIONS

Provider Business Mailing Address
First Line	:	6141 SUNSET DR
Second Line	:	SUITE 101
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-5028
Country	:	US
Telephone Number	:	305-405-8548
Fax Number	:	305-668-8740

Provider Business Practice Location Address
First Line	:	6141 SUNSET DR
Second Line	:	SUITE 101
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-5028
Country	:	US
Telephone Number	:	305-405-8548
Fax Number	:	305-668-8740

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RAFAEL ALFONSO GALLARDO
Credential	:	CRT, RPSGT
Telephone Number	:	305-405-8548

Provider Enumeration Date	:	09/13/2007
Last Update Date	:	07/21/2022

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Directions to “SLEEP DISORDER SOLUTIONS ” Practice Location

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